Active NPI
Thomas Michael Lansden, CRNA
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
National Provider Identifier
1699722686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9278493
- Practice address
- 12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991 - Phone
- (239) 939-2622
- Fax
- (239) 939-0151
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN248116COA1 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 9278493 | FL | Primary |
Addresses
Primary practice location
12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991
Mailing address
12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991
Phone (239) 939-2622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304983 | Medicaid | OH | |
| G4595 | Other | FL | BCBS OF FLORIDA |
| 000292600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9278493 | FL | MD | Certified Registered Nurse Anesthetist |
| RN248116COA1 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchez Anesthesia | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gulfport Outpatient Anesthesia, P.a. | Past | Accepting new patients | |
| Gulfport Anesthesia Services, P.a. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
-
- Specialist
- Gulfport, MS
- NPI 1821033796
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1245402148
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1831203165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1699722686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12511 WORLD PLAZA LN BLDG 50",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073991",
"telephone_number": "239-939-2622",
"fax_number": "239-939-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 WORLD PLAZA LN BLDG 50",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073991",
"telephone_number": "239-939-2622",
"fax_number": "239-939-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANSDEN",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN248116COA1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9278493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304983",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "G4595",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000292600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.